Taking anti-depressant medications: Resistance, trial commitment, conversion, disenchantment

Karp, David A.

doi:10.1007/bf00989969

Cited by 38 publications

(49 citation statements)

References 13 publications

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“…22 The present research contributes to the understanding of patient views on depression management by indicating the diversity of possible viewpoints, and the fluidity of these over time (as highlighted by Karp in his work on 'illness careers' in depression). 23,24 In line with the conclusions of previous qualitative studies on depression in primary care (for example, Gask et al 25 ), the present findings highlight the importance of patient and GP beliefs in influencing management. The research extends these previous findings by exploring the varying goals of GPs and patients for the management of depression in primary care, with implications for clinical practice as outlined below.…”

Section: Comparison With Existing Literaturesupporting

confidence: 80%

Qualitative study of depression management in primary care: GP and patient goals, and the value of listening

Johnston

Kumar²,

Kendall³

et al. 2007

Br J Gen Pract

107

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Section: Comparison With Existing Literaturesupporting

confidence: 80%

Qualitative study of depression management in primary care: GP and patient goals, and the value of listening

Johnston

Kumar²,

Kendall³

et al. 2007

Br J Gen Pract

107

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“…The next stage in the women's careers as SSRI users was one of conflict. As was also found among people suffering from depression (Karp, 1993(Karp, , 1994, a major issue in the process of being diagnosed and accepting the medicine in this study was being labeled a person with a stigmatizing emotional disorder. It further became clear that the women saw SSRIs as a "double" stigma because of the perceived risk of stigmatization from the reputation of the medicine as a "happiness pill" and the association with emotional illness, the former stigma.…”

Section: Discussionmentioning

confidence: 63%

“…Among users of tricyclic antidepressants, Karp (1993) found, "When taking the first tablet, a revision of one's biochemistry and one's self would begin." Helweg-Jørgensen and Hansen (2002) found a similar tendency among users of benzodiazepines.…”

Section: Discussionmentioning

confidence: 98%

Changes in Self-Concept While Using SSRI Antidepressants

et al. 2002

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In this study, the authors analyze how younger women see themselves within the context of using the antidepressants selective serotonin re-uptake inhibitors (SSRIs). Twelve in-depth interviews and 6 reinterviews were conducted with a community-based sample of women who had been taking SSRIs between 1 and 4 years. The empirical analysis revealed that SSRI users passed through stages in their careers as medicine users, these stages corresponding to how the users thought and felt about themselves. Four major changes in self-concept emerged: distressed and needing help, conflicts about taking the medicine, improvements in condition, and problems discontinuing the medicine. Users evaluated themselves from what they believed was the perspective of society, and the way they saw themselves was closely related to how they felt they functioned in everyday life.

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“…11,12 This study expands this evidence by suggesting that the fear of being labelled in this way, and the resultant stigma mean that many people with depression initially seek help only when they have reached a crisis point and are thus often not in a position to make an informed decision about antidepressant medication. Many of the factors subsequently highlighted by patients here as influencing their decisions about medication have also been reported elsewhere, [13][14][15][16][17] and with evidence that patients' preferences change over time.…”

Section: Comparison With Existing Literaturementioning

confidence: 71%

Patients' views of antidepressants: from first experiences to becoming expert

Schofield

Crosland²,

Waheed³

et al. 2011

Br J Gen Pract

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BackgroundThe majority of patients discontinue antidepressant treatment earlier than prescribed. The factors behind this and the influences on patients' choices about whether to take medication remain poorly understood. AimTo explore factors that influence patients' decisions about taking antidepressant medication. Design of studyQualitative interview study. SettingInterviews were conducted across three sites: London, East Lancashire, and North East England. MethodSemi-structured interviews were conducted with a purposive sample of 65 primary care patients who were prescribed antidepressants in the past year for depression or mixed anxiety/depression. ResultsParticipants described their first course of antidepressants as typically occurring when they had 'hit rock bottom', having exhausted all other possibilities; therefore, there was little sense of a positive choice at this stage. There would typically follow a period of experimentation where it was usual to stop and restart medication, often several times. Ultimately, these recurring cycles lead to participants becoming more expert about their condition and better able to make an informed decision about medication. For younger participants, recovery typically remained a goal, although for older people there was often an acceptance that their condition, and medication use, would be long term. ConclusionParticipants' accounts demonstrated how they could become expert at managing their condition through a process of trial and error.

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Taking anti-depressant medications: Resistance, trial commitment, conversion, disenchantment

Cited by 38 publications

References 13 publications

Qualitative study of depression management in primary care: GP and patient goals, and the value of listening

Qualitative study of depression management in primary care: GP and patient goals, and the value of listening

Changes in Self-Concept While Using SSRI Antidepressants

Patients' views of antidepressants: from first experiences to becoming expert

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